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Diabetic nephropathy and inflammation.糖尿病肾病与炎症
World J Diabetes. 2014 Jun 15;5(3):393-8. doi: 10.4239/wjd.v5.i3.393.
2
Genetic predisposition for development of nephropathy in type 2 diabetes mellitus.2 型糖尿病肾病发生的遗传易感性。
Biochem Genet. 2013 Dec;51(11-12):865-75. doi: 10.1007/s10528-013-9613-x. Epub 2013 Jul 12.
3
[Analysis on relationship of Chinese medicine syndrome pattern with urinary albumin excretion rate and its related factors in early stage diabetic nephropathy].早期糖尿病肾病中医证候与尿白蛋白排泄率及其相关因素的关系分析
Zhongguo Zhong Xi Yi Jie He Za Zhi. 2010 Sep;30(9):912-4.
4
Synergistic effects of the MTHFR C677T and A1298C polymorphisms on the increased risk of micro- and macro-albuminuria and progression of diabetic nephropathy among Iranians with type 2 diabetes mellitus.MTHFR C677T 和 A1298C 多态性的协同作用对伊朗 2 型糖尿病患者微量和大量白蛋白尿风险的增加及糖尿病肾病进展的影响。
Clin Biochem. 2010 Nov;43(16-17):1333-9. doi: 10.1016/j.clinbiochem.2010.08.019. Epub 2010 Aug 25.
5
Differential contribution of MTHFR C677T variant to the risk of diabetic nephropathy in Lebanese and Bahraini Arabs.MTHFR C677T 变体对黎巴嫩和巴林阿拉伯人糖尿病肾病风险的差异贡献。
Clin Chem Lab Med. 2010 Aug;48(8):1091-4. doi: 10.1515/CCLM.2010.228.
6
Methyltetrahydrofolate reductase C677T gene mutation and hyperhomocysteinemia as a novel risk factor for diabetic nephropathy.甲基四氢叶酸还原酶C677T基因突变与高同型半胱氨酸血症作为糖尿病肾病的一种新的危险因素。
Endocrine. 2009 Oct;36(2):255-61. doi: 10.1007/s12020-009-9218-7. Epub 2009 Jul 14.
7
MTHFR gene polymorphism is susceptible to diabetic retinopathy but not to diabetic nephropathy in Japanese type 2 diabetic patients.在日本2型糖尿病患者中,亚甲基四氢叶酸还原酶(MTHFR)基因多态性易患糖尿病视网膜病变,但与糖尿病肾病无关。
J Diabetes Complications. 2008 Mar-Apr;22(2):119-25. doi: 10.1016/j.jdiacomp.2006.12.002.
8
Systematic review and meta-analysis of the association between {beta}2-adrenoceptor polymorphisms and asthma: a HuGE review.β2肾上腺素能受体基因多态性与哮喘关联的系统评价和荟萃分析:一项HuGE评价
Am J Epidemiol. 2005 Aug 1;162(3):201-11. doi: 10.1093/aje/kwi184. Epub 2005 Jun 29.
9
Methylenetetrahydrofolate reductase gene polymorphism is not related to diabetic nephropathy in Japanese Type 2 diabetic patients.亚甲基四氢叶酸还原酶基因多态性与日本2型糖尿病患者的糖尿病肾病无关。
Diabet Med. 2004 Sep;21(9):1051-2. doi: 10.1111/j.1464-5491.2004.01192.x.
10
Genetic polymorphism of methylenetetrahydrofolate reductase as a risk factor for diabetic nephropathy in Chinese type 2 diabetic patients.亚甲基四氢叶酸还原酶基因多态性作为中国2型糖尿病患者糖尿病肾病的危险因素
Diabetes Res Clin Pract. 2004 Jun;64(3):185-90. doi: 10.1016/j.diabres.2003.10.022.

亚洲人群中MTHFR基因C677T多态性与2型糖尿病肾病:一项荟萃分析

MTHFR gene C677T polymorphism and type 2 diabetic nephropathy in Asian populations: a meta-analysis.

作者信息

Chen Haiyan, Wei Fang, Wang Lihua, Wang Zhe, Meng Jia, Jia Lan, Sun Guijiang, Zhang Ruining, Li Bo, Yu Haibo, Pang Haiyan, Bi Xueqing, Dong Hongye, Jiang Aili, Wang Lin

机构信息

The Second Hospital of Tianjin Medical University 23 Pingkiang Road, Hexi District, Tianjin 300211, China.

出版信息

Int J Clin Exp Med. 2015 Mar 15;8(3):3662-70. eCollection 2015.

PMID:26064261
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4443095/
Abstract

BACKGROUND

Many studies have suggested a correlation between the C677T mutation in the methylenetetrahydrofolate reductase (MTHFR) gene and diabetic nephropathy (DN), but their results are inconclusive.

METHODS

To confirm this correlation, we performed a meta-analysis of 15 studies. The dichotomous data are presented as odds ratios (OR) with 95% confidence intervals (CI).

RESULTS

The results of this study suggested that the MTHFR 677 T allele was more likely to increase the risk of DN in Asian (OR = 1.466, 95% CI = 1.143-1.880, P = 0.003), West Asian (OR = 1.750, 95% CI = 1.150-2.664, P = 0.009), and Chinese populations (OR = 2.162, 95% CI = 1.719-2.719, P = 0.001), but not in East Asian or Japanese populations. The carriers of the MTHFR 677 T allele were associated with progression of DN in the "5-10 year duration" group, but not in the "> 10 year duration" group (OR = 2.187, 95% CI = 1.787-2.677, P = 0.001).

CONCLUSION

Development of DN is associated with MTHFR C677T polymorphisms in Asian populations, especially in early type 2 diabetes.

摘要

背景

许多研究表明亚甲基四氢叶酸还原酶(MTHFR)基因的C677T突变与糖尿病肾病(DN)之间存在关联,但结果尚无定论。

方法

为证实这种关联,我们对15项研究进行了荟萃分析。二分数据以比值比(OR)及95%置信区间(CI)表示。

结果

本研究结果表明,MTHFR 677 T等位基因更有可能增加亚洲人群(OR = 1.466,95% CI = 1.143 - 1.880,P = 0.003)、西亚人群(OR = 1.750,95% CI = 1.150 - 2.664,P = 0.009)和中国人群(OR = 2.162,95% CI = 1.719 - 2.719,P = 0.001)患DN的风险,但在东亚或日本人群中并非如此。MTHFR 677 T等位基因携带者在“病程5 - 10年”组中与DN进展相关,但在“病程> 10年”组中并非如此(OR = 2.187,95% CI = 1.787 - 2.677,P = 0.001)。

结论

在亚洲人群中,尤其是在早期2型糖尿病患者中,DN的发生与MTHFR C677T基因多态性有关。